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IRIS PROJECT AUDIT
Client Information
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| Client Name: | Keyworker: |
| Swift Number: | GP: |
| Address: |
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| Postcode: |
Ethnic origin:
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White UK |
Indian |
Chinese |
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White Irish |
Pakistani |
Other |
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Black African |
Bangladeshi |
Please specify: |
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Black Caribbean |
Kashmiri |
Living situation:
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Alone |
In family home |
Hostel |
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With partner |
Supported |
Other |
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With friends |
Accommodation |
Please specify: |
Employment:
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Unemployed |
Full time |
Never worked |
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On sick leave |
Part time |
1. Duration of untreated illness:___________________________________
2. Prodromal period:
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1-2 weeks |
4-6 weeks |
> 8 weeks |
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2-4 weeks |
6-8 weeks |
3. How long was it between being referred to the service and getting treatment?
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< 1 week |
2-4 weeks |
2-3 months |
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1-2 weeks |
1-2 months |
> 3 months |
4. What affected your help-seeking?
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Fear |
Embarrassment |
Lack of insight |
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Stigma |
Lack of information |
Other |
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Unsure who to approach / where to go |
Please specify: |
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5. How many times did you try to seek help?
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1 |
3 |
More than 4 |
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2 |
4 |
6. Did you have choices of help available?
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Yes |
No |
If yes, what were the choices?
7. Were your family given support?
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Yes |
No |
If yes, what kind of support were they given?
8. Were you given information on your illness, medication and side effects?
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Yes |
No |
9. Where did you see the psychiatric services?
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At home |
In hospital |
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At GP surgery |
Other |
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Please specify: |
10. Are you aware of your diagnosis, and, if so what is it?
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Yes |
No |
11. Were the recovery options explained to you?
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Yes |
No |
12. Did anyone notice you were unwell?
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Yes |
No |
13. Who noticed you were unwell?
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Friends |
Work colleagues |
Other |
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Family |
GP |
Please specify: |
14. Are you aware of the Care Programme Approach?
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Yes |
No |
15. How did you find the information given to you by professionals?
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Helpful |
Useless |
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Frightening |
Other |
Please specify _________________________________
16. Were you given information about confidentiality and the complaints procedure?
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Yes |
No |
17. Did you use any other sources of information?
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Books |
TV |
Videos |
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Leaflets |
Internet |
Other |
If other, please specify: _________________________
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